NPIMap

Organization Active NPI

Union Hospital District

  • Rural Health Clinic/Center
  • Union, SC
National Provider Identifier
1487715819
Registry record updated Sep 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
UNION HOSPITAL DISTRICT
Practice address
407 W. South St. Ste. C
Union, SC 29379-2771
Phone
(864) 429-8846
Fax
(864) 429-9093
NPI assigned
Dec 12, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Tami C Pettit
Title
Cha Director Physician Services
Phone
(864) 427-0331

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X Primary

Addresses

Primary practice location

407 W. South St. Ste. C
Union, SC 29379-2771

Mailing address

720 S Duncan Byp
Union, SC 29379-7830
Phone (864) 427-4081

Other identifiers 1

IdentifierTypeStateIssuer
RHC144MedicaidSC

Other names 1

  • CHA Upstate Pediatrics Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Cha Upstate Pediatrics4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

407 W South St
Ste C
Union, SC 29379
Phone (864) 427-6058

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1379289600000",
    "number": "1487715819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 S DUNCAN BYP",
            "city": "UNION",
            "state": "SC",
            "postal_code": "293797830",
            "telephone_number": "864-427-4081",
            "fax_number": "864-427-8733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 W. SOUTH ST. STE. C",
            "city": "UNION",
            "state": "SC",
            "postal_code": "293792771",
            "telephone_number": "864-429-8846",
            "fax_number": "864-429-9093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNION HOSPITAL DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-12",
        "last_updated": "2013-09-16",
        "status": "A",
        "authorized_official_last_name": "PETTIT",
        "authorized_official_first_name": "TAMI",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "CHA DIRECTOR PHYSICIAN SERVICES",
        "authorized_official_telephone_number": "864-427-0331"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "RHC144",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CHA Upstate Pediatrics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Union, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.